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Kutsuna I, Hoshino A, Morisugi A, Mori Y, Shirato A, Takeda M, Isaji H, Suwa M. Relationship between duration of sick leave and time variation of words used in return-to-work programs for depression. Work 2024; 77:981-991. [PMID: 37781845 DOI: 10.3233/wor-230083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/03/2023] Open
Abstract
BACKGROUND Return-to-work (RTW) programs are provided as rehabilitation for people who have taken sick leave from work because of mental health problems. However, methods to present this information to workplaces objectively remain limited. OBJECTIVE This study aimed to conduct an exploratory investigation of the relationship between duration of sick leave and time variation of words used in RTW programs for depression from textual data collected from electronic medical records as a new evaluation indicator. METHODS The study subjects were those who had taken sick leave because of major depressive or adjustment disorder and had participated in an RTW program. The study data comprised demographic characteristics and texts. Textual data were collected from electronic medical records and classified based on the SOAP note. Thereafter, the textual data were quantified into category scores based on a standard text analysis dictionary. A generalized linear mixed model was used for the statistical analysis, with the score for each category (emotional, social, cognitive, perceptual, biological, motivational, relativity, and informal) as the dependent variable and the duration of sick leave, time, and interaction between the duration of sick leave and time as the independent variables. The level of statistical significance was set at 0.05. RESULTS In total, 42 participants were included in the analysis. The results revealed a significant interaction between the social (p = 0.001) and emotional (p = 0.002) categories. CONCLUSION The findings suggest a relationship between word changes in electronic medical records and the duration of sick leave.
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Affiliation(s)
- Ichiro Kutsuna
- Department of Health Science, Graduate School of Medicine, Nagoya University, Nagoya, Japan
- Mental Clinic Anser, Medical Corporation Seiseikai, Aichi, Japan
| | - Aiko Hoshino
- Department of Health Science, Graduate School of Medicine, Nagoya University, Nagoya, Japan
- Mental Clinic Anser, Medical Corporation Seiseikai, Aichi, Japan
| | - Ami Morisugi
- Mental Clinic Anser, Medical Corporation Seiseikai, Aichi, Japan
| | - Yukari Mori
- Mental Clinic Anser, Medical Corporation Seiseikai, Aichi, Japan
| | - Aki Shirato
- Hinaga General Center for Mental Care, Mie, Japan
| | - Mirai Takeda
- Hinaga General Center for Mental Care, Mie, Japan
| | - Hikari Isaji
- Department of Health Science, Graduate School of Medicine, Nagoya University, Nagoya, Japan
| | - Mami Suwa
- Mental Clinic Anser, Medical Corporation Seiseikai, Aichi, Japan
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Sato K, Gotoh L, Matsushita M, Tokunaga Y, Ishitake T. Effects of treatment contents on changes in resilience among workers with mood or anxiety disorders: A 3-month longitudinal study. PCN REPORTS : PSYCHIATRY AND CLINICAL NEUROSCIENCES 2023; 2:e69. [PMID: 38868418 PMCID: PMC11114338 DOI: 10.1002/pcn5.69] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Revised: 12/11/2022] [Accepted: 12/15/2022] [Indexed: 06/14/2024]
Abstract
Aim The aim of this study was to identify factors that influence changes in resilience among workers with mental health disorders, leading to effective treatment and support. Methods Among the new patients at an institution, 81 who were working and had the ICD-10 diagnoses F3 and F4 were included. Resilience was measured at the initial visit and 3 months later using the S-H resilience test. Univariate and multiple regression analyses were conducted using the change in resilience between the two measurements as the objective variable, and treatment and attendance at work as explanatory variables. Results There were no significant differences in resilience abilities between pre- and postmeasurement for the subjects as a whole. However, tests for the subgroups of diagnostic category, attendance at work, and treatment showed that resilience improved significantly in the mood disorder group, the leaving employment group, and the group receiving additional treatment. The results of the multiple regression analysis showed that treatment type (with or without additional treatment) had an effect on the degree of change in resilience, and among these "inpatient treatment" and "re-work program" were suggested to have an effect. Conclusion The resilience of workers with mental health disorders was found to improve even after only 3 months of treatment, depending on the content of the treatment. We believe the significance of this study is the quantitative indication of the transition of resilience, which has not been made concrete until now.
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Affiliation(s)
- Kei Sato
- Department of Environmental MedicineKurume University School of MedicineKurumeJapan
| | - Leo Gotoh
- Department of Environmental MedicineKurume University School of MedicineKurumeJapan
| | - Michihiko Matsushita
- Department of Environmental MedicineKurume University School of MedicineKurumeJapan
| | - Yuichiro Tokunaga
- Department of Environmental MedicineKurume University School of MedicineKurumeJapan
| | - Tatsuya Ishitake
- Department of Environmental MedicineKurume University School of MedicineKurumeJapan
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Tanaka S, Kuge RI, Nakano M, Inukai S, Hamamoto M, Terasawa M, Nakamura T, Sugiyama N, Kobayashi M, Washizuka S. Outcomes of an interdisciplinary return to work intervention including occupational therapy for mood and adjustment disorders: A single-arm clinical trial. Work 2023; 74:515-530. [PMID: 36278381 PMCID: PMC9986701 DOI: 10.3233/wor-211144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
Abstract
BACKGROUND Mood and adjustment disorders are two major causes of long-term sick leave among employees, leading to large social losses. Therefore, a return to work (RTW) intervention was attempted, targeting patients with mood and adjustment disorders. OBJECTIVE This study aimed to investigate the outcome of an interdisciplinary RTW intervention including occupational therapy implemented within the Japanese healthcare framework. METHODS An interdisciplinary RTW intervention including occupational therapy was conducted five times a week for approximately three months, targeting individuals with mood and adjustment disorders who took a leave of absence. Their mental symptoms, cognitive functioning, job performance, temperament, social adaptation, psychosocial state, and readiness to RTW before and after the intervention were evaluated. Full-time RTW ratios at 3, 6, 12, 18, and 24 months from baseline were followed up and compared with those of prior studies. RESULTS A total of 30 individuals completed the intervention. After the intervention, participants' psychological symptoms, cognitive function, vocational aptitude, temperament, social adaptation, psychosocial state, and readiness to RTW improved (p≤0.001-0.0279). The ratios of RTW at 3, 6, 12, 18, and 24 months from the baseline were 6.7%, 46.7%, 73.3%, 77.8%, and 82.6%, respectively, reflecting a higher pattern than prior reports. CONCLUSIONS The interdisciplinary RTW intervention including occupational therapy has the potential to improve not only depressive symptoms but also cognitive functioning, job performance, social adaptation, and readiness to RTW. They can also raise RTW ratios.
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Affiliation(s)
- Sachie Tanaka
- Department of Fundamental Occupational Therapy, Shinshu University School of Health Sciences, Matsumoto, Nagano, Japan
| | - Ryunosuke Iwai Kuge
- Department of Rehabilitation, Shinshu University Hospital, Matsumoto, Nagano, Japan.,Department of Health Sciences, Shinshu University Graduate School of Medicine, Matsumoto, Nagano, Japan
| | - Miku Nakano
- Department of Rehabilitation, Shinshu University Hospital, Matsumoto, Nagano, Japan.,Department of Medical Sciences, Shinshu University Graduate School of Medicine, Matsumoto, Nagano, Japan
| | - Sayaka Inukai
- Patient Support Center, Shinshu University Hospital, Matsumoto, Nagano, Japan
| | - Midori Hamamoto
- Department of Psychiatry, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
| | - Miho Terasawa
- Department of Pharmacy, Shinshu University Hospital, Matsumoto, Nagano, Japan
| | - Toshinori Nakamura
- Department of Psychiatry, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
| | - Nobuhiro Sugiyama
- Department of Psychiatry, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.,Department of Applied Occupational Therapy, Shinshu University School of Health Sciences, Matsumoto, Nagano, Japan
| | - Masayoshi Kobayashi
- Department of Fundamental Occupational Therapy, Shinshu University School of Health Sciences, Matsumoto, Nagano, Japan.,Department of Health Sciences, Shinshu University Graduate School of Medicine, Matsumoto, Nagano, Japan
| | - Shinsuke Washizuka
- Department of Psychiatry, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
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Kutsuna I, Hoshino A, Morisugi A, Mori Y, Shirato A, Takeda M, isaji H, Suwa M. Relationship between emotional words in electronic medical records and leave periods of users of a return-to-work program with depression. Br J Occup Ther 2022. [DOI: 10.1177/03080226221107773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction We attempted to score data extracted from written medical records containing assessment results using natural language processing, and to clarify the relationship between duration of sick leave and the use of emotional words among return-to-work (RTW) program users on sick leave due to mental health problems. Method Participants were users of an RTW program. We extracted textual data from their electronic medical records, and gave all words a score based on the following two considerations: positivity score (the degree of positive emotion a word has) and emotion score with respect to seven emotions (sadness, anxiety, anger, disgust, trust, surprise, and joy), with the score for each emotion measured for each word. We analyzed relationships between duration of sick leave and each score. Results Forty-two users participated. The results showed that high positive scores (β = −0.42, p < 0.00) and high sadness scores (β = −0.60, p < 0.00) were related to a shorter duration of sick leave, and high anger score (β = 0.52, p < 0.00) was related to a longer duration of sick leave. Conclusion Professional assessments based on occupational therapy and natural language processing of medical records may predict the appropriate timing of RTW.
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Affiliation(s)
- Ichiro Kutsuna
- Department of Health Science, Graduate School of Medicine, Nagoya University, Nagoya, Japan
- Mental Clinic Anser, Medical Corporation Seiseikai, Aichi, Japan
| | - Aiko Hoshino
- Department of Health Science, Graduate School of Medicine, Nagoya University, Nagoya, Japan
- Mental Clinic Anser, Medical Corporation Seiseikai, Aichi, Japan
| | - Ami Morisugi
- Mental Clinic Anser, Medical Corporation Seiseikai, Aichi, Japan
| | - Yukari Mori
- Mental Clinic Anser, Medical Corporation Seiseikai, Aichi, Japan
| | - Aki Shirato
- Hinaga General Center for Mental Care, Mie, Japan
| | - Mirai Takeda
- Hinaga General Center for Mental Care, Mie, Japan
| | - Hikari isaji
- Department of Health Science, Graduate School of Medicine, Nagoya University, Nagoya, Japan
| | - Mami Suwa
- Mental Clinic Anser, Medical Corporation Seiseikai, Aichi, Japan
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